| NPI | 1649723818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006656A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28188982A) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2021-07-01 |